1. 南京医科大学附属上海一院临床医学院,上海,200080
2. 上海市第一人民医院康复科,上海,200080
3. 上海杉达学院,上海,201209
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纪任欣, 余波, 何霏, 等. 中西医结合改良肌内效贴对膝骨性关节炎影响的临床研究[J]. 上海中医药杂志, 2018,52(2):71-74.
JI Renxin, YU Bo, HE Fei, et al. Effects of modified kinesio taping of integrated Chinese and western medicine on knee osteoarthritis[J]. Shanghai Journal of Traditional Chinese Medicine, 2018,52(2):71-74.
纪任欣, 余波, 何霏, 等. 中西医结合改良肌内效贴对膝骨性关节炎影响的临床研究[J]. 上海中医药杂志, 2018,52(2):71-74. DOI: 10.16305/j.1007-1334.2018.02.017.
JI Renxin, YU Bo, HE Fei, et al. Effects of modified kinesio taping of integrated Chinese and western medicine on knee osteoarthritis[J]. Shanghai Journal of Traditional Chinese Medicine, 2018,52(2):71-74. DOI: 10.16305/j.1007-1334.2018.02.017.
目的:观察中西医结合改良肌内效贴贴扎治疗膝骨性关节炎的临床疗效。 方法:将150例膝骨性关节炎患者随机分为中医外治组、西医外治组及中西医结合组,每组50例。中医外治组予黄荆新伤膏敷贴,西医外治组予肌内效贴贴扎,中西医结合组予中西医结合改良肌内效贴贴扎。各组疗程均为14天,观察比较膝关节主动活动角度(AROM)及西安大略及麦克马斯特大学骨关节炎指数评分的变化情况。 结果:①治疗前后组内比较,中医外治组屈曲角度差异有统计学意义(P<0.05),而西医外治组及中西医结合组屈曲、内旋、外旋角度差异有统计学意义(P<0.05)。组间治疗后比较,西医外治组及中西医结合组屈曲、内旋、外旋角度的改善明显优于中医外治组(P<0.05),而西医外治组与中西医结合组屈曲、内旋、外旋角度的改善差异无统计学意义(P>0.05)。②治疗前后组内比较,各组疼痛评分差异均有统计学意义(P<0.05),而西医外治组及中西医结合组僵硬度评分、日常活动困难度评分差异有统计学意义(P<0.05),中医外治组僵硬度评分、日常活动困难度评分差异无统计学意义(P>0.05)。组间治疗后比较,中西医结合组的疼痛评分、日常活动困难度评分明显低于西医外治组及中医外治组(P<0.05),中西医结合组及西医外治组的僵硬度评分明显低于中医外治组(P<0.05),而西医外治组与中西医结合组僵硬度评分差异无统计学意义(P>0.05)。 结论:中西医结合改良肌内效贴贴扎治疗膝骨性关节炎的疗效满意,可明显改善患者膝关节自主活动度,减轻其疼痛、僵硬等症状。
Objective:To observe the clinical efficacy of modified kinesio taping of integrated Chinese and western medicine in the treatment of knee osteoarthritis. Methods150 patients with knee osteoarthritis were randomly divided into the external treatment group of Chinese medicine(Chinese medicine group),external treatment group of western medicine(western medicine group) and integrated Chinese and western medicine group(integrated group),50 cases in each group. The Chinese medicine group was treated with Huangjing Xinshang Ointment,the western medicine group was treated with kinesio taping,and the integrated group was treated with the modified kinesio taping of integrated Chinese and western medicine,with a course of 14 days. The changes on the active range of motion(AROM)in knee and Western Ontario and McMaster Universities(WOMAC)osteoarthritis indexes were observed and compared. Results:①For the comparison of treatment before and after,there was statistically significant difference on the flexion angle in the Chinese medicine group(P<0.05),and there were statistically significant differences on the angles of flexion,internal rotation and external rotation angle in the western medicine group and integrated group(P<0.05). After treatment,the improvements on the angles of flexion,internal rotation and external rotation angle in the western medicine group and integrated group were obviously better than those in the Chinese medicine group(P<0.05). While there were no statistically significant differences on the angles of flexion,internal rotation and external rotation angle between the western medicine group and integrated group(P>0.05). ②For the comparison of treatment before and after,there was statistically significant difference on the score of pain in all groups(P<0.05),and there were statistically significant differences on the scores of stiffness and daily activity difficulty in the western medicine group and integrated group(P<0.05),but there were no statistically significant differences on the scores of stiffness and daily activity difficulty in the Chinese medicine group(P>0.05). After treatment,the scores of pain and daily activity difficulty in the integrated group were obviously lower than those in the western medicine group and Chinese medicine group(P<0.05),the score of stiffness in the western medicine group and integrated group was obviously lower than that in the Chinese medicine group(P<0.05),and there was no statistically significant difference on the score of stiffness between the western medicine group and integrated group(P>0.05). Conclusion:Modified kinesio taping of integrated Chinese and western medicine shows good efficacy in the treatment of knee osteoarthritis,which can obviously improve the active range of motion in knee joint of patients,and relieve the symptoms such as pain,stiffness and so on.
膝骨性关节炎膝关节退行性病变中西医结合肌内效贴黄荆新伤膏
knee osteoarthritisdegenerative disease of knee jointintegrated Chinese and western medicinekinesio tapingHuangjing Xinshang Ointment
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